Caring for people with dementia in the acute setting: a study of nurses’ views

Nolan, Louise

doi:10.12968/bjon.2007.16.7.23245

Cited by 61 publications

(97 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Training could be directed at staff at an emotional and intellectual level [48], supporting empathy and focus on person-centred approaches [42, 48, 49]. Dementia training should be targeted at wards and also at management if issues such as poor staffing and pressure to complete medical tasks quickly are to be addressed.…”

Section: Response Training and Educationmentioning

confidence: 99%

Optimising care for patients with cognitive impairment and dementia following hip fracture

et al. 2017

View full text Add to dashboard Cite

The global shift in demographics towards aging populations is leading to a commensurate increase in age-related disease and frailty. It is essential to optimise health services to meet current needs and prepare for anticipated future demands. This paper explores issues impacting on people living with cognitive impairment and/or dementia who experience a hip fracture and are cared for in acute settings. This is important given the high mortality and morbidity associated with this population. Given the current insufficiency of clear evidence on optimum rehabilitation of this patient group, this paper explored three key themes namely: recognition of cognitive impairment, response by way of training and education of staff to optimise care for this patient group and review of the importance of outcomes measures. Whilst there is currently insufficient evidence to draw conclusions about the optimal ways of caring for patients living with dementia following hip fracture, this paper concludes that future research should improve understanding of healthcare staff education to improve the outcomes for this important group of patients.

show abstract

Section: Response Training and Educationmentioning

confidence: 99%

Optimising care for patients with cognitive impairment and dementia following hip fracture

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Challenges of caring for older patients with dementia in a structurally inadequate and inappropriate environment were highlighted in 2007 in a study by Nolan exploring nurses' experiences of caring for older people with dementia [18] . In this qualitative study, nurses acknowledged that the specific needs of patients with dementia were mainly not considered within an acute hospital environment [18] .…”

Section: Nurse Education For Dementia Carementioning

confidence: 99%

“…In this qualitative study, nurses acknowledged that the specific needs of patients with dementia were mainly not considered within an acute hospital environment [18] . Student nurses experiences of caring for people with dementia according to…”

Section: Nurse Education For Dementia Carementioning

confidence: 99%

A multicentre survey of acute hospital nursing staff training in dementia care

Coffey

Tyrrell

Buckley

et al. 2014

Clinical Nursing Studies

View full text Add to dashboard Cite

Purpose: This paper reports on results of a study to identify education needs of nurses in acute care environments regarding dementia care in Ireland. Method:As part of a multicentre study of dementia prevalence and in-hospital course, a survey was conducted with nurses (n = 151) in six acute hospitals in the south of Ireland. Data were analysed using descriptive statistics. Findings:Despite the availability of a national dementia education programme across all care services, 83% of acute hospital nursing staff perceived that they had insufficient training in dementia care, reflecting the known poor uptake of offered dementia education in acute hospitals. Over two thirds of nurses felt that education on dementia specific communication strategies was insufficient or unavailable. Nurses also reported insufficient knowledge with regard to pain assessment in patients with dementia, or alternatives to physical or chemical restraint. This lack of knowledge has implications for quality of care and may have consequences for safety of patients with dementia in acute hospitals in Ireland. Conclusion:With the expected growth in prevalence of dementia worldwide, more people with dementia will access acute hospital care. Education and training to improve dementia care needs to be prioritised in acute hospitals at senior level.

show abstract

“…Studies highlight four main reasons for poor reported outcomes for people with dementia being cared for in acute hospitals: 1) an unsupportive physical environment including issues with safety, orientation, way finding and availability of space to walk around (Heath et al, 2010, Nolan, 2007, Royal College of Psychiatrists, 2011 2) a negative organisational and ward culture, including inflexible, strict routines, weak clinical leadership (National Audit Office, 2010, Webster, 2011 and a culture of care that labels people with dementia as 'difficult' (Cowdell, 2009); 3) stigma and negative staff attitudes towards people with dementia, including seeing them as demanding too much nursing time, being disruptive to ward routines and threatening to other patients (Eriksson andSaveman, 2002, Moyle et al, 2010); 4) poor staff skills and knowledge (Eriksson andSaveman, 2002, Thompson and including failure to meet basic dignity and care needs (Care Quality Commission, 2011).…”

Section: Introductionmentioning

confidence: 99%

Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study

Surr¹,

Smith

Crossland³

et al. 2016

International Journal of Nursing Studies

127

185

View full text Add to dashboard Cite

Background: People with dementia occupy up to one quarter of acute hospital beds. However, the quality of care delivered to this patient group is of national concern. Staff working in acute hospitals report lack of knowledge, skills and confidence in caring for people with dementia. There is limited evidence about the most effective approaches to supporting acute hospital staff to deliver more person-centred care.Objectives: This study aimed to evaluate the efficacy of a specialist training programme for acute hospital staff regarding improving attitudes, satisfaction and feelings of caring efficacy, in provision of care to people with dementia.Design: A repeated measures design, with measures completed immediately prior to commencing training (T1), after completion of Foundation level training (T2: 4-6 weeks post-baseline), and following Intermediate level training (T3: 3-4 months postbaseline). Setting: One NHS Trust in the North of England, UK.Participants: 40 acute hospital staff working in clinical roles, the majority of whom (90%) were nurses.Methods: All participants received the 3.5 day Person-centred Care Training for Acute Hospitals (PCTAH) programme, comprised of two levels, Foundation (1/2 day) and Intermediate (3 days), delivered over a 3-4 month period. Staff demographics and previous exposure to dementia training was collected via a questionnaire. Staff attitudes were measured using the Approaches to Dementia Questionnaire (ADQ), satisfaction in caring for people with dementia was captured using the Staff Experiences of Working with Demented Residents questionnaire (SEWDR) and perceived caring efficacy was measured using the Caring Efficacy Scale (CES). Results:The training programme was effective in producing a significant positive change on all three outcome measures following intermediate training compared to baseline. A significant positive effect was found on the ADS between baseline and after completion of Foundation level training, but not for either of the other measures. Conclusions:Training acute hospital staff in Intermediate level person-centred dementia care is effective in producing significant improvements in attitudes towards and satisfaction in caring for people with dementia and feelings of caring efficacy. Foundation level training is effective in changing attitudes but does not seem to be sufficient to bring about change in satisfaction or caring efficacy.2 Keywords: acute hospitals; dementia; education; general hospitals; person-centred care; staff training. Contribution of the paper:What is already known about this topic? Care for people with dementia is has often been found to be of poor quality in acute general hospitals and deficiencies in staff knowledge, skills and confidence to deliver dementia care is a contributory factor.  Person-centred dementia care can improve quality of life for people with dementia in specialist settings but there remains limited knowledge and understanding about its application in acute hospitals.  There is limited research about the...

show abstract

Caring for people with dementia in the acute setting: a study of nurses’ views

Cited by 61 publications

References 20 publications

Optimising care for patients with cognitive impairment and dementia following hip fracture

Optimising care for patients with cognitive impairment and dementia following hip fracture

A multicentre survey of acute hospital nursing staff training in dementia care

Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study

Contact Info

Product

Resources

About